Individual
MS. COLLEEN P PANUNZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
251 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(678) 557-5996
Mailing address
251 RIVER PARK NORTH DR, WOODSTOCK, GA 30188-7835
(678) 557-5996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
003201
GA
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/22/2005
Last updated
08/05/2025
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